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1770107757
TONYA JORDAN SULLIVAN
MOORESVILLE, NC
NPI
1770107757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5013206)
Enumeration Date
2020-06-04
Last Update Date
2023-08-10
Business Address
TONYA JORDAN SULLIVAN Nurse Practitioner
125 DAYS INN DR
MOORESVILLE, NC 28117-6323
Phone number: 704-660-9111
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Mailing Address
TONYA JORDAN SULLIVAN Nurse Practitioner
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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